Emotion regulation deficits and depression-related maladaptive interpersonal behaviours.
Emotion regulation deficits and depression-related maladaptive interpersonal behaviours.
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DOI：
10.1080/02699931.2021.1989668
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发表时间：
2021-12
影响因子：
2.6
通讯作者：
Schwartz-Mette RA
中科院分区：
文献类型：
--
作者：
Fearey E;Evans J;Schwartz-Mette RA
Coyne的抑郁症人际理论认为，那些有抑郁症状的人会有不适应的人际行为，尽管这些行为旨在缓解痛苦，但会排斥社会支持，增加抑郁症状。过度寻求安慰、寻求负面反馈和会话自我关注是Coyne理论中涉及的三种行为，然而，除了抑郁症状之外，它们之间的关联却鲜为人知。目前的研究认为，个人情绪调节缺陷的潜在作用是这些行为的一个额外的脆弱性因素。调解模型进一步测试了情绪调节缺陷和不适应人际行为之间的联系是否有助于解释抑郁症状的短期增加，正如理论进一步提出的那样。年龄较大的青少年（N = 291, M = 18.9）在首次实验室访问期间和四周后再次完成情绪调节缺陷、抑郁症状和三种适应不良人际行为的自我报告测量。一系列的多元回归模型表明，情绪调节困难与抑郁症状影响之外的每一种行为都有独特的关联。中介分析表明，随着时间的推移，只有过度寻求安慰才能调节初始情绪调节缺陷与抑郁症状增加之间的关联。本文还讨论了这些发现的临床意义。
Coyne’s interpersonal theory of depression posits that those with depressive symptoms engage in maladaptive interpersonal behaviors that, although intended to assuage distress, push away social supports and increase depressive symptoms. Excessive reassurance seeking, negative feedback seeking, and conversational self-focus are three behaviors implicated in Coyne’s theory, yet their correlates- apart from depressive symptoms- are poorly understood. The current study considered the potential role of intrapersonal emotion regulation deficits as an additional vulnerability factor for these behaviors. Mediation models further tested whether linkages between emotion regulation deficits and maladaptive interpersonal behaviors helped to explain short-term increases in depressive symptoms, as further suggested by theory. Older adolescents (N = 291, M age = 18.9) completed self-report measures of emotion regulation deficits, depressive symptoms, and the three maladaptive interpersonal behaviors during an initial lab visit and again four weeks later. A series of multiple regression models suggested that emotion regulation difficulties are uniquely associated with each of the behaviors over and above the impact of depressive symptoms. Mediation analyses suggested that only excessive reassurance seeking mediated the association between initial emotion regulation deficits and increased depressive symptoms over time. The clinical implications of these findings are discussed.
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